Active NPI
Fabio David Pereira, PA-C
- Physician Assistant
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109957
- Practice address
- 461 E 51St St
Hialeah, FL 33013-1542 - Phone
- (305) 815-3848
- NPI assigned
- Oct 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109957 | FL | Primary |
Addresses
Primary practice location
461 E 51St St
Hialeah, FL 33013-1542
Mailing address
461 E 51St St
Hialeah, FL 33013-1542
Phone (305) 815-3848
Other practice location 1
680 N University Dr
100
Pembroke Pines, FL 33024-6738
Phone (954) 538-6868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378
1328 N Woodland Blvd
Deland, FL 32720-2203
Phone (386) 738-0574
13935 Landstar Blvd
Suite 150
Orlando, FL 32824-5533
Phone (615) 373-7600
410 E Altamonte Dr
Suite 1020
Altamonte Springs, FL 32701-4657
Phone (615) 373-7600
4670 Marigold Ave
Poinciana, FL 34758-4336
Phone (689) 299-0695
5102 Sr
Suite 46
Sanford, FL 32771-9336
Phone (407) 410-8670
628 Cagan View Rd
Clermont, FL 34714-6566
Phone (352) 242-1988
805 County Rd
Suite 466
Lady Lake, FL 32159-4205
Phone (352) 674-9218
8972 Turkey Lake Rd
Orlando, FL 32819-7377
Phone (407) 226-1906
92 E Mitchell Hammock Rd
Suite 1006
Oviedo, FL 32765-9756
Phone (615) 373-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Heathrow Internal Medicine LLC | Past | Accepting new patients |
Locations
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Winter Springs, FL
- NPI 1205389905
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Emergency Medicine Physician
- North Miami Beach, FL
- NPI 1053645465
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1033387865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1407306699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 E 51ST ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330131542",
"telephone_number": "305-815-3848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 E 51ST ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330131542",
"telephone_number": "305-815-3848"
}
],
"practiceLocations": [
{
"address_1": "680 N University Dr",
"address_2": "100",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330246738",
"country_code": "US",
"telephone_number": "954-538-6868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREIRA",
"first_name": "FABIO",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-11",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.